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Final Results of the Korea Infant Physical Growth Examination Survey (2020-2024)
Sungha Yun1, Doyeon Kim1, Kyungwon Oh1
1Division of Health and Nutrition Survey and Analysis, Department of Chronic Disease Prevention and Control, Korea Disease Control and Prevention Agency, Cheongju, Korea.
Insights
New Korean infant growth data shows higher median measurements than the 2017 Growth Chart, especially in younger infants. Breastfed infants align closer to World Health Organization (WHO) standards.
Area of Science:
- Pediatric Growth Monitoring
- Anthropometry
- Public Health Surveillance
Background:
- Growth charts are crucial for assessing child development and identifying issues like underweight and obesity.
- The 2017 Korean National Growth Chart, based on World Health Organization (WHO) standards, is the current national reference.
- Accurate, domestic anthropometric data is essential for refining national growth standards.
Purpose of the Study:
- To present findings from the Korea Infant Physical Growth Examination Survey (2020-2024).
- To establish growth standards using recent Korean anthropometric data for infants aged 0-23 months.
- To inform the development of future Korean National Growth Charts.
Main Methods:
- Analysis of anthropometric measurements from infants aged 0-23 months.
- Comparison of collected data against the 2017 Korean National Growth Chart (WHO-based).
- Calculation of median and percentile values for length, weight, and weight-for-length.
Main Results:
- Infant median and percentile measurements were generally higher than the 2017 Growth Chart, particularly in younger age groups.
- Measurements converged towards the 2017 Growth Chart by 22-23 months of age.
- Positive Z-scores were observed, with breastfed infants showing values closer to reference standards.
Conclusions:
- This study provides the first longitudinal, standardized anthropometric data for Korean infants.
- Findings offer a valuable resource for future research on infant growth in Korea.
- The 2027 Korean National Growth Chart will consider these findings and WHO standards for continued application.
Objectives:
Growth charts for children and adolescents serve as essential references for assessing growth status, including underweight and obesity. The most recent version, the 2017 Korean National Growth Chart (2017 Growth Chart), has been used nationwide. This study aimed to present the results of the Korea Infant Physical Growth Examination Survey (2020-2024) conducted by the Korea Disease Control and Prevention Agency to support the establishment of growth standards based on domestic anthropometric data.
Methods:
This study analyzed anthropometric measurements obtained from infants aged 0-23 months and compared the results with the 2017 Growth Chart, which adopted the World Health Organization (WHO) Growth Standards.
Results:
The median and key percentile values (length at the 3rd and 97th percentiles; weight at the 5th and 95th percentiles; and weight-for-length at the 5th and 95th percentiles) were generally higher than those of the 2017 Growth Chart across most age groups but converged to similar levels at approximately 22-23 months of age. Z-scores based on the 2017 Growth Chart were generally positive, and breastfed infants showed values closer to the reference standards.
Conclusions:
This study represents the first longitudinal investigation to collect standardized anthropometric data for Korean infants and provides a valuable resource for future research on infant growth and development in the Republic of Korea. Decisions regarding the continued application of the WHO Growth Standards in the upcoming 2027 Growth Chart will be made following a comprehensive review, including longitudinal analyses of cohort data, evaluation of national anthropometric datasets, and expert consultation.
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